Teens in Cars
The number one killer of teens
is motor vehicle crashes.

Fatalities are split almost
equally between teen
drivers and passengers.

1 in 4 teens surveyed said they don’t
use a seat belt on every ride.

56%

44%

In half of fatalities, the teen was
not wearing a seat belt.

TOP REASONS
“Forgot; or it’s
not a habit.”

16%

“Weren’t
driving far.”

“Seat belts are
uncomfortable.”

34%

Seat belts reduce the risk of death for
front seat passengers by 45 percent.
11%

45%

RISK REDUCTION

Teens who don’t use seat belts are more
likely to say they text while driving than
those who do.

73%

39 percent of teens said they have ridden with
a teen driver who was texting, and 95 percent
said they think other teens have done so.
39%

95%

52%

43 percent of teens reported riding as a
passenger with a teen driver who was
talking on the phone.
43%

One study found that the odds of a crash or near-crash in newly-licensed teen drivers was
more than 8 times greater when dialing a cell phone.

More than half of teens surveyed said they
have seen a parent talking on the phone while
driving.

28%

49%

of teens reported feeling
unsafe when riding with
a teen driver.

57%

28 percent have been riding in a car
with a parent who was texting.

31%

when riding with a parent.

When someone was driving dangerously, 4 in 10 teens say
they asked the driver to stop, but almost the same number
said they did nothing.

Buckle Up and Speak Up
for a Safe Ride Every Time.
ÂŠ 2014 Safe Kids Worldwide

Executive Summary
What if there was a disease that claimed the lives of 2,400 teens each year?
A disease that was the leading killer of teenagers, that didn’t distinguish
between income or race, and could devastate any family? What if that disease
could be prevented through available, inexpensive behavior changes?
Unfortunately this ‘disease’ exists: motor vehicle crashes result in more teen
deaths than any other cause.1,2 In 2012, 2,439 teen drivers and passengers
died in motor vehicle crashes.3 In half of these fatal crashes, the teen wasn’t
using a seat belt, and this proportion has been relatively unchanged over
the last decade.4 In both fatal and nonfatal crashes, a greater percentage of
passengers are unrestrained than drivers.4,5
Through a grant from the General Motors Foundation, Safe Kids surveyed
1,000 teens ages 13 to 19 to explore why teens aren’t using seat belts for
every ride, and to understand their perceptions about their own safety when
riding as passengers.
One in four teens say they don’t use a seat belt every single time when riding
with a teen driver without an adult in the car, and 84 percent think that other
teens don’t use a seat belt for every ride. The top reason that these teens gave
for not buckling up is that they forgot or it wasn’t a habit. And these habits start
young; teens who don’t use seat belts are more likely to say their parents don’t
use a seat belt every time they drive. Teens who don’t use seat belts are also
more likely to say they text while driving than those who do wear seat belts—
a problem that we found was very common.
Thirty-nine percent of teens say they have ridden with a teen driver who was
texting, and 95 percent say that they think other teens have ridden with drivers
who were texting. These behaviors don’t stop with teen drivers; more than half
of teens say they have seen a parent talking on the phone while driving, and 28
percent have been riding in a car with a parent who was texting. We asked teens
what they or another passenger did in a situation when a teen driver was driving
dangerously. Four out of ten teens say the driver was asked to stop what they
were doing. But almost the same proportion—39 percent—say they did nothing.
Riding as a passenger with a teen driver can lead to situations that make teens
uncomfortable, and even concerned for their safety—49 percent say they have
felt unsafe with a teen driver. In what is likely an eye-opener for many parents,
31 percent of teens say they have felt unsafe with a parent driving. It can be
challenging to speak out when faced with a car filled with friends, or even to a
parent who isn’t driving safely. That’s why it’s important for teens to be prepared
to be safe passengers today, so they can make safe decisions as drivers in the
future. Here are some strategies for parents and families to stay safe while
riding as a passenger and a driver:
• Make using a seat belt for every ride a habit, starting when kids are young.
• Be a safety role model by observing speed limits, putting phones away
while driving, and following the rules of the road.
• Talk to teens and kids about ways to speak up if a driver of any age isn’t
driving safely.
Keeping teens safe in cars starts long before they are ready to drive or ride with
friends. By following these tips, we can make sure that teens are making safe
decisions when riding as passengers today and drivers tomorrow.
4 Teens in Cars

Presley’s story
On a rainy fall night in October
2006, 15-year-old Presley
Melton and her best friend,
Lindsay Craven, 17, were
coming home from a gas
station, which was a mile and
a half from Lindsay’s house.
Lindsay was driving and Presley
was riding in the passenger
seat. Lindsay hit a curve and
lost control of the car. The car
ran off the road, crashed into a
ditch and flipped several times.
Neither teen was buckled up.
Both girls were thrown from
the car and Lindsay died at
the scene. Presley sustained
multiple fractures to her face
and body, remained in a coma
for almost a month after the
crash, and is still battling a
severe brain injury. In memory
of Lindsay, Presley makes it her
mission to speak out to other
teens about the importance
of buckling up on every ride.
“I don’t want people to forget
what happened to Lindsay,”
said Presley. “I lost my best
friend because we didn’t
buckle up.”

PRESLEY MELTON:

“I lost my
best friend
because we
didn’t buckle up.”

Presley's best friend, Lindsay Craven

Safe Kids Worldwide

5

The Leading Killer of Teens
In 2012, 3,116 families lost a child in a motor vehicle crash.6 Of these, 2,439
families—78 percent—lost a teen between the ages of 13 and 19.3 Each
year motor vehicle crashes claim the lives of 8 out of every 100,000 teens.3,7
And motor vehicle crashes are the leading cause of death for teens, resulting
in more teen deaths than cancer, heart disease, congenital anomalies and
cerebrovascular diseases combined (Figure 1).1,2
Figure 1: Car crashes are the leading killer of teens1,2
RANK

CAUSE OF DEATH

NUMBER OF DEATHS, 2010

1

Motor vehicle driver/occupant

2,747

2

Homicide

1,927

3

Suicide

1,863

4

Malignant neoplasms

792

5

Poisoning

770

6

Heart disease

405

7

Drowning

363

8

Pedestrian injuries

295

9

Congenital anomalies

254

10

Other land transport injuries

123

11

Cerebrovascular

99

12

Chronic lower respiratory
disease

85

13

Influenza and pneumonia

63

14

Bicyclist injuries

63

Fortunately, we have seen a steady decline in the number of teens ages
13 to 19 who die each year in motor vehicle crashes—a sign that the efforts
of government, non-profits and industry may be making a difference. Since
reaching a peak of 5,491 deaths in 2002, the number of teens dying in car
crashes has fallen 56 percent to 2,439 in 2012 (Figure 2).8
Figure 2: The number of teens dying in motor vehicle crashes has fallen
56 percent since its peak in 2002.8
6,000

Despite the good news, there is still a big challenge facing families—making
sure that their teen isn’t one of the 2,439 who don’t see their next birthday.
One of the most important steps that anyone riding in a car can take to stay
safe is to always use a seat belt, for every ride. And with seat belts available
in every car, there’s no reason not to use them. However, crash data shows
that teens are often not using seat belts at the time of their crash. In
2012, 1,357 teen drivers, 1,065 passengers, and 17 unknown occupants
died in fatal crashes. Of those, 46.8 percent of drivers and 54.2 percent of
passengers weren’t buckled up at the time of the crash.4 In nonfatal crashes,
we see a similar pattern but with much smaller percentages: in 2012, 5.6
percent of the 132,842 teen drivers injured in crashes weren’t using seat
belts, compared to 11.2 percent of the 111,377 teen passengers (Figure
3).5 We hypothesize that the difference between fatal and nonfatal crashes
might be a result of seat belts protecting teens who were nonfatally injured
in crashes from being fatally injured. Additionally, the proportion of fatalities
that weren’t using seat belts at the time of the crash has changed very little
over the last decade (Figure 4).4
Figure 3: A greater proportion of teen passengers are unrestrained in
crashes than teen drivers.4,5
60%

54%

Percent Unrestrained

50%

Unrestrained
Passengers

47%
Unrestrained
Drivers

40%
30%
20%

11%
10%

Unrestrained
Passengers

6%
Unrestrained
Drivers

0%

Fatal Crashes

Non-Fatal Crashes

Figure 4: Half of teen passengers who die are not buckled up—and there
hasn't been a substantial change over the last decade.4

70%

Passengers
54%

60%
50%
40%

Drivers
46%

30%
20%
10%

12
20

11
20

10
20

09
20

08
20

07
20

06
20

05
20

04
20

03

0%

20

A greater proportion of teen passengers are
unrestrained in crashes than teen drivers.

Percent of Unrestrained Fatalities

80%

Year

Safe Kids Worldwide

7

Given that half of the teens who die in car crashes weren’t using their seat
belt at the time of the crash, we wanted to explore why teens don’t always
buckle up and why they thought other teens might not wear seat belts. We
also wanted to know if teens felt safe riding as passengers with a teen driver,
the types of risky situations they’ve been in—such as riding with a teen driver
who was texting—and what they did about it.

Riding in Cars with Teens
To explore the behaviors and thoughts of teens when they ride with a teen
driver, we surveyed 1,051 teens between the ages of 13 and 19. We asked
about how often they ride with a teen driver, whether they use a seat belt,
and their perceptions about other teens’ seat belt use.
We found that beginning at age 15, teens ride more regularly with teen
drivers. Ten percent of 13-year-olds say they ride every day or a few times
a week with a teen driver, compared to 23 percent of 16-year-olds (Figure
5). Along with more frequent exposure to risky situations, however, comes
greater risk: three times as many 16-year-old passengers die in car crashes,
compared to 13-year-olds.3 Previous research has found that, compared
to teen drivers who aren’t transporting any teen passengers, having one
passenger in the car who is under 21 years old increases the risk of a crash by
44 percent; two passengers doubles the risk; and three or more passengers
increases the risk four-fold, when no adult passengers are present.9 Another
study found that in 42 percent of fatal crashes involving a 16- or 17-year-old
driver, all of the passengers in the car were between the ages of 13 and 19.10
WHY NO SEAT BELT?

50%

250

40%

200

30%

150

20%

100

10%

50

0%

13

8 Teens in Cars

14

15

16
Age

17

18

19

0

Number of teen passengers (13-19)
who died in car crashes, 2012

Percent in survey who ride every day/few times a
week with a teen driving without an adult

Figure 5: Beginning at age 15, more teens regularly ride with a teen
driver—and the number of teen passengers who die in crashes
increases, too.3

“We might be
going to the
grocery store
right around the
block.”

Seat Belts
We found that one in four teens say they don’t use a seat belt every single
time they ride with a teen driver without an adult (Figure 6). Yet wearing a
seat belt is one of the easiest and most effective ways to stay safe as a driver
or passenger. In addition to being available in all cars, when used, seat belts
reduce the risk of death for front seat passengers by 45 percent.12
In our survey, we found that there are some important differences between
teens who use a seat belt every time they ride with a teen driver, and those
who don’t (Figure 7). For example, we found in the survey that teens who
don’t use a seat belt every time are more likely to have parents who don’t
always use seat belts. And the top reason teens gave for why they didn’t use
a seat belt every time when riding with a teen driver was that they forgot
or it wasn’t a habit (34 percent) (Figure 8). They also said they wouldn’t use
a seat belt if they weren’t traveling far (16 percent), if the seat belts were
uncomfortable (11 percent), or if they were in a hurry (5 percent). This data,
on top of the fact that many of these teens admitted their parents don’t
use a seat belt every time, suggests that buckling up is a practice that starts
young—when children are riding in car seats and watching their parents
behavior over many years.

One in four teens doesn't use a seat belt
every single time when riding with a teen
driver without an adult in the car.

When teenagers were asked whether other teens always used their seat
belts, their perspectives changed. Although 77 percent of teens say they use
a seat belt every single time they ride with a teen driver, only 16 percent
think other teens use a seat belt every time when riding with a teen driver.
Eight out of ten teens think other teens are less likely to buckle up when not
driving far, and half said that not having enough seat belts in the car for all
the passengers was a reason (Figure 9). Thirty-three percent said that going
to a party was a reason why teens might not wear seat belts; girls were more
likely (36 percent) than boys (29 percent) to use this reasoning. Using a seat
belt isn’t important just for the passenger’s safety; a study found that having
a passenger who wasn’t using a seat belt sitting behind a restrained driver
increased the risk of death to the driver by 137 percent, compared to having
a passenger who was using a seat belt behind them.13
Figure 6: One in four teens doesn't use a seat belt every single time when
riding with a teen driver without an adult in the car.

23%

Almost always/
the majority/
sometimes/
hardly ever/
never

77%

Every single time

Safe Kids Worldwide

9

Figure 7: Teens who don't use a seat belt every single time are more likely
to…
80

Percent of Teens

Don’t use their seat belt

60
50
40

Use their seat belt

73%

70

51%

52%

47%

42%

38%

35%

30

23%

20

15%
7%

10
0

...be boys

16%
8%

...text while ...have parents ...think that ...have ridden ...have felt
driving
who don’t wear other teens
with a teen unsafe with
their seat belts hardly ever driver who had
a teen
every single
wear their been drinking or
driver
time
seat belts
using drugs

Figure 9: Why do you think other teens are less likely to buckle up?
90
80

81%

Percent of Teens

70
60
50

42%

50%

40

43%
33%

30
20

12%

10
0

30%

2%
Not
going
far

10 Teens in Cars

Not enough
seat belts
in the car

In
a rush

Going to Driver isn’t
On
a party
using a weekends
seat belt

1%

Peer
Drunk/
pressure intoxicated

“IDK. I just don’t
because most of
the people I ride
with don’t have it
on either.”

Teen Passengers Are Concerned about
Their Safety

“He was drinking
and wouldn't let
anyone else drive
his car. He kept
going really fast
then really slow
and ran a red
light. He ended up
parking half on
a curb half off
when we got to
the party.”

Forty-nine percent of teens say there has been a time when they felt unsafe
riding with a teen driver without an adult in the car, and 31 percent have felt
unsafe with a parent driving (Figure 10). The fact that such a large proportion
of teens have felt unsafe as a passenger is alarming. Given that so many
teens were concerned about their safety, we wanted to understand what
types of situations teens were confronted with as passengers.
Figure 10: Half of teens have felt unsafe with a teen driver, and
31 percent have felt unsafe with a parent driving.
50

49%
40

Percent of Teens

EVER FELT UNSAFE WITH
ANOTHER TEEN DRIVER?

30

31%

20
10
0

Felt unsafe
with a
teen driver

Felt unsafe
with a
parent driving

Four out of 10 teens report riding as a passenger with a teen driver who was
talking on a phone (Figure 11). While we are aware of the risk that behaviors
like speeding and drunk driving pose, dialing a phone can be a danger, too:
one study found that the odds of a crash or near-crash in newly-licensed teen
drivers was more than 8 times greater when dialing a cell phone.14 In our
survey, we found that forty-two percent of teens say they have ridden with a
teen driver who was speeding or driving recklessly, and 39 percent have been
in the car with a teen driver who was texting. We heard from teens that 95
percent think other teens have ridden with drivers who were texting, showing
just how widespread this issue is.
Given that parents are role models for their children, we asked teens what
they’ve seen their parents do when riding with them. Almost six in 10 have
ridden with a parent who was talking on the phone, 28 percent have been
with a parent who was texting, and 17 percent say they have been in an
crash that was another driver’s fault.

Safe Kids Worldwide

11

Speaking up to an unsafe teen driver is a challenge for many in the survey;
40 percent of teens say they ask the driver to stop what they’re doing, but
another 39 percent say they do nothing (Figure 12). However, given that so
many teens are reporting their parents’ unsafe driving behaviors, it’s worth
asking: is it more difficult to ask a teen to stop texting while they’re driving,
or to ask a parent to stop being unsafe?
Figure 11: Have any of the following happened when you were riding as a
passenger?
57%

60

Percent of Teens

50

43%

Riding with a teen driver
without an adult
Riding with your parent

42%

39%

40
30

42%

28%

24%

20

17%
10%

10
0

Driver was
talking on
phone

Driver was
speeding/
driving
recklessly

Driver was
texting

8%

Driver had
been drinking
or doing
drugs

5%
An accident
that was
another
driver’s fault

Figure 12: When faced with a teen driver who was behaving in a risky
manner, four out of 10 teens asked a teen driver to stop—but another
39 percent did nothing.
45
40

40%

39%

Percent of Teens

35
30
25
20

16%

15

16%
12%

10

9%

5
0

Asked the
driver to stop
what they
were doing

12 Teens in Cars

Nothing

Talked to
friends/
parents
later

Talked to
driver later

Never rode
with driver
again

Asked driver
to let them
out

EVER FELT UNSAFE WITH
ANOTHER TEEN DRIVER?

“I didn't know if
the driver was a
reliable person.
He seemed like
a good guy, but
I knew he had
a bad/fun side
to him with
driving.”

When faced with a teen driver who was
behaving in a risky manner, four out of 10
teens asked a teen driver to stopâ&#x20AC;&#x201D;but another
39 percent did nothing.

Safe Kids Worldwide

13

How Public Policy Can Save Teen Lives
Public policy—smart laws, awareness about the law and
practical, diligent enforcement—is successful in saving
lives. From 1988 to 2010, the unintentional injury death
rate declined by 55 percent for those under 19 and the
motor vehicle related deaths have been reduced by 58
percent.17 In that time, most states have passed laws
that require drivers and passengers to wear seat belts
and for parents to place their children in the correct car
seats and booster seats up to specific ages, weights and/
or heights. Laws governing how young drivers obtain
driver’s licenses can help drive down the number of
fatalities and save lives.
Buckling up is important because unintentional injuries
remain the leading killer of kids 19 and under, and road
deaths contribute the greatest number to that quotient.
As this report makes clear, the attitudes of teens towards
driving are lax and the data is of concern. Seat belt use,
the key focus of this report, is the first and perhaps most
important reform to save young lives and is an important
part of good graduated driver’s license (GDL) laws. Safe
Kids Worldwide supports public policy prescriptions to
meet the challenge of teen driving.
The most effective approach is adopting and
strengthening the system which eases young drivers into
full driving privileges, most often in three phases. These
are called “graduated driver’s license” (GDL) systems. The
phases govern the restrictions on young drivers as they
climb the GDL ladder, most often the learner’s permit
stage, intermediate and full privileges.15
The following are key criteria, and why:
Limitation on Teen
Driving
At what age can a new
driver “graduate” to the
next phase?

Common Sense Reason

Between what hours
may he or she drive at
night?

Night driving is proven to
be more dangerous and
difficult.

How many teen
passengers can be in
the car with a
new driver?

Without an adult, licensed
driver in the car, other
teens can be a significant
distraction.

As technology in the car is
more prevalent, distraction
becomes more and more
risky.

How much education
and supervised
training?

The more practice and
knowledge the better.

Teens need time to develop
good driving skills and
habits.

Adding tougher criteria to state GDL laws reduces the risk
of crashes. The Insurance Institute for Highway Safety
has developed an online calculator for how heightened
GDL criteria can reduce crashes state by state. If Texas
set the learner’s permit age at 16 instead of 15, fatal
crashes could be reduced by 13 percent. Research has
found that GDL programs are associated with a 38
percent reduction in the rate of fatal crashes involving
16-year-old drivers.16 IIHS says that giving all 50 states
the strictest GDL law could save about 500 lives a year
and prevent 9,500 crashes by 15 to 17 year olds.18
Public policy is best made backed by strong data. The
night driving restriction demonstrates how data drives
lifesaving policy making. A Massachusetts study showed
that 45 percent of fatal crashes occur at night, while
younger drivers are on the road at night 18 percent.19
Thus, limitations on when a new driver can operate a
motor vehicle are one of the most important provisions,
at least limiting driving between 10pm and 6am, with
exceptions for when there is a licensed, adult driver in
the car. For example, if Ohio set the night driving curfew
at 10:00 pm instead of midnight, fatal crashes could be
reduced by 5 percent.
In addition to night driving curfews, the following are
best practices for state GDL laws.
• Ban distractions—texting and use of distracting
technology
• Limit number of teenage passengers
• Zero tolerance for alcohol use
• No violations of mandatory seat belt laws for the driver
and passengers
• Learner’s Permit stage starting no earlier than at age
16; full driving privileges at 18
• At least 50 hours of driver’s education and adultsupervised driving
Further, violations of serious motor vehicle laws should
be enforceable as a primary reason for a police officer
to stop a car. Many states handcuff police from issuing
a violation for seat belt usage, texting and other serious
violations unless there’s another violation such as
speeding or running a red light.

MAP-21 Incentive Grant

60 58%
50%

50

43%

24%
20
10%

10

Strong law limiting the
hours an intermediate
driver can operate a motor
vehicle

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Strong laws limiting teen
passengers in cars, except
when an adult, licensed
driver is in the car

23 percent don’t
always wear a seat belt
with teen drivers;
81 percent think other
teens are less likely
to wear seat belts
when not going far; 43
percent because they
were in a hurry
39 percent have been
a passenger in car
when a teen driver was
texting
49 percent felt unsafe
as a passenger in car
driven by teen

Law We Need

39%

30

Ni

What Teens Told Us

42%

40

riv

Joined by more than 75 of its coalitions, Safe Kids is
urging Congress to continue its work in encouraging
states to pass stronger GDL laws by making the grant
program effective.22 That should include giving NHTSA
the flexibility to approve waivers for states that have been
diligent about passing strong GDL laws, with data-driven
track records to justify their application.

Have any of these situations happened when
you were riding with a teen driver without an
adult in the car?

Percent of Teens

In 2012, Congress “reauthorized” the law governing
federal highway policy, MAP-21, and it recognized the
effectiveness of GDL laws.20 It created a grant program
to help states enforce their GDL laws. The grants would
be available to states which have enacted tough GDL
laws based on specific criteria. However, the criteria in
the law are stringent and no state has yet qualified for a
grant. Moreover, there is little activity in state legislatures
towards strengthening their laws. In fact, Iowa recently
weakened its bill on teen passengers. Safe Kids Worldwide,
Safe Kids Ohio and the National Safety Council are part
of a coalition working for a tougher GDL law in that
state relating to night driving curfews, but the new law, if
passed, would not meet the grant criteria.21

Strategies for Families
As a parent, it can feel impossible to know what teens are up to when riding
with a teen driver. However, we learned that teens are faced with tough
decisions and challenging situations as both passengers and drivers. Here are
strategies for families to spark discussion and to make life-saving behavior
changes.

Make using a seat belt for every ride a habit, starting when kids
are young.
Teens whose parents don’t use seat belts for every ride are less likely to
buckle up themselves. And the top reason that teens gave for not buckling
up was that they forgot or it wasn’t a habit. Using a seat belt for every ride is
one of the easiest ways to stay safe in a car; they’re available in all cars, and
wearing a seat belt lowers the risk of death for a front seat passenger by 45
percent.12 Make sure that buckling up the whole family is a habit that begins
at a young age.

Be a safety role model by observing speed limits, putting phones away
while driving, and following the rules of the road.
Teens are aware when their parents aren’t following the rules—28 percent
say they’ve seen their parent texting while driving, the same behavior that
every teen driver is told can lead to crashes. Even worse, these habits can lead
to teens feeling unsafe when their parents are driving, such as the 31 percent
of teens in our survey who reported not feeling safe when a parent was
driving. Consider that you’re a safety role model for your child or teenager—
be an example for your kids, starting from when they are watching you from
their car seats in the back seat.

Talk to teens and kids about ways to speak up if a driver of any age
isn’t driving safely.
It’s never easy to be the one speaking out about unsafe behavior. But with
39 percent of teens doing nothing when confronted with an unsafe teen
driver, it’s important to give teens the confidence they need to speak up in
these situations. Try giving them examples of situations in which they’re
riding with a driver who isn’t safe—such as texting or speeding—and ask
them what they would do. Then, tell them what some safe options would be,
such as asking the driver to slow down or ask to be dropped off at a shopping
center and call a parent to be picked up.
By engaging with these strategies, we hope that parents and teens can stay
safe while riding in cars as both passengers and drivers.

16 Teens in Cars

Safe Kids Worldwide

17

Survey Methodology
Safe Kids Worldwide commissioned a national online survey of 1,051 teenagers ages 13 to 19. At least 150 surveys
were completed by teens of each age (ex.: 13-year-olds). The survey had 38 questions and was fielded from February
18-26, 2014. The margin of error for the total sample size included in this study (n=1051) was 3.0 percent at a
95 percent confidence level. If recruited, managed and selected correctly, online samples can effectively reflect a
known universe, however most online samples are not projectable because they are not true random samples of the
population where every member of the population has a known and non-zero probability of selection.

U.S. Census Bureau. Annual Estimates of the Resident Population by Single
Year of Age and Sex for the United States. 2012 Population Estimates.
Available at http://factfinder2.census.gov/faces/tableservices/jsf/pages/
productview.xhtml?pid=PEP_2012_PEPSYASEXN&prodType=table. Accessed
April 2, 2014.

21. H.B. 204, Ohio General Assembly. Available at http://www.legislature.state.
oh.us/bills.cfm?ID=130_HB_204. Accessed April 14, 2014. H.B. was voted out
of committee for floor consideration.
22. Safe Kids Worldwide, Letter to U.S. Department of Transportation, U.S. House
Committee on Transportation and Infrastructure, Senate Committee on
Environment and Public Works, and the Senate Committee on Commerce,
Science and Transportation, 04.02.2014. Available at https://www.safekids.
org/letter-safe-kids-transportation-priorities-surface-transportation-billreauthorization-0. Accessed April 8, 2014.